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Home My WebLink About32280-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31932 Date: 10/20/06 THIS CERTIFIES that the building ALTERATION Location of Property: 870 SMITH (HOUSE NO.) County Tax Map No. 473889 Section 76 DR N (STREET) Block 2 SOUTHOLD (HAMLET) Lot 13 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 10, 2006 pursuant to which Building Permit No. 32280-Z dated AUGUST 10, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is OUTSIDE SHOWER & "AS BUILT" SCREENED PORCH ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD J & HEIDI E. CHADWICK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3004843 08/31/06 PLUMBERS CERTIFICATION DATED N/A ~,.1!!4- Rev. 1/81 ~ ,?0.>~ (YIcUi2 -t", . ~Dot"\ CkJ'.1.h<-\.<' nJ. '5" ijur\<. /\~-~ ll'<pf" ,;)'1-(" I B f'0.v jor ",-, (\v.V ':\.,uL t 0 ( ). Form~o.l'J TOWN OF'SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 I I 8-) APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new buDding or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical insta11ation from Board of Fire Underwriters. 4. Sworn statement from plumber certifYing that the solder used in system contains less than 2/10 of 1% lead. 5 _ Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planuing Board Approval of completed site plan requirements. B. For existing bulldings (prior to April 9, 1957) non-eonforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. /0 is /ato V (check one) Sx.dJdi New Construction: Old or Pre-existing Building: Location of Property: 11 70 Sm/f~ ])rll/€ f)urfl. House No. Street Owner or Owners of Property: ])u,u/lld -f fA!!}; CICLiw,d Hamlet Subdivision Date of Permit. !J /II/orh Filed Map_ Applicant: 7J Md. tJ Lot Lot: ctkd: Suflblk County Tax Map No 1000, Section Block Permit No.S J.::l8 0:2- Health Dept. Approval: Planuing Board Approval: Request for: Temporary Certificate '1/.0,) Fee Submitted: $ <>< .;) Underwriters Approval: Final Certificate: t-- (check one) j)md/ ctlwal Applicant Signature .ff ~a Cl'" ail f(.4!.,JkON-S 1!:J jJ-1<1/Ul ht.{"'6<. IS dll..:l-d..'l!1-?;''l7o &.;;c. 7 It ~ 0 L 0 It: 3 f9 3..2. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32280 Z Date AUGUST 10, 2006 Permission is hereby granted to: DONALD J CHADWICK 1725 YORK AVE APT 29E NEW YORK,NY 10128 for : CONSTRUCTION OF AN AS BUILT SCREENED PORCH AS APPLIED FOR at premises located at 870 SMITH DR N SOUTHOLD County Tax Map No. 473889 Section 076 Block 0002 Lot No. 013 pursuant to application dated AUGUST 10, 2006 and approved by the Building Inspector to expire on FEBRUARY 10, 2008. Fee $ - /./.:r~:-) (j '~hC 300.00 ORIGINAL Rev. 5/8/02 Signature ..._.-'~ It" - ...., c< - ~_:-. @].~@] I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 10038 -7.) ,:.' ~ ~ __ 6- ~ @l CERTIFIES THAT f.jJ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ ALAN HUBBARD ELEC. DONALD & HEIDI CHADWICK ~ ~ PO BOX 2241 870 SMITH DR N. ~ ~ 126 CLOVER PLACE SOUTHOLD, NY 11971 ~ ~ AQUEBOGUE, NY 11931, ~ ~ Located at 870 SMITH DR N. SOUTH OLD, NY 11971 ~ ~ ~ ~ Application Number: 3004843 Certificate Number: 3004843 ~ I Section: Block: Lot: Building perm~? ?-~D BDC: ns11 I ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ First Floor, Porch/Deck, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 31st Day of August, 2006. ~ ~ Name OTY Rate Ratini:!: Circuit ~ ~ ~ Miscellaneous ~ ~ enclosed rear porch ~ ~~~~ ~ f.jJ Outlet 3 0 General Purpose f.jJ ~ Receptacle 2 0 General Purpose ~ ~ rnmm= ] 0 ~ ~ Paddle Fan ] 0 ~ ~ Lighting track 80ft ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ I of ] ~ I ~ ~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ @].@] 31-1-~ 0 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING 0 FINAL A I [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: e~ ~.~Ok~ F~ ~. ~ ~P.^~ ~ L:a- Dk. /o--f-o' DATE INSPECTOR '* ~ ~ ] FOUNDATION 1 ST [] ROUGH PLBG. ] FOUNDATION 2ND [] INSULATION ] FRAMING/STRAPPING ~FINAL f1;,ecll ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION INSPECTOR ~~ ,... .....1 .. ; FIELD INSPECTION REPORT DATE COMMENTS . W"" FOUNDATION (1ST) ~i ------------------------------------ . . -~ ~l ~ <:: FOUNDATION (2ND) Hi ')-.,(> "'- . ' Z . ? ., ^ .. ~. ~ ROUGH FRAMlNG & CJ ~ , ~ PLUMBlNG " ~, J-- , . t) : ~ , lNSULATION PER N. Y. ~ .., STATE ENERGY CODE 0 , , 11. -11;(J 1~^.. n . .A _1 \:a OK I t v.- Jf>.url ',8 -0 L aA:h .-;1- J.L) (, ~ -f:i;.-v AJ 'I ' /'~ VI) . ./.vA- -1-'. ~ 1~")1/o ~ IT .J} ~. 'fA -;J, 'r! j.l.~.,. Jo.-t;:...., ....d.~ ~ FlNAL / n I{)/J./~ IIA j::..L n -Jfv,..~. .... ,1)'t', ~v...f./ E7D'~ ~ '/'t ;\~ /"': >1 yo ADDIDONAL COMMENTS f " '" fo ';:E . ~ffi ::0. ~ > I~ t'l ", 'U~ . ,. \ :s "6 ~. . ::l 4 C! 0 D<:(Z ..' = ~t'l , --~ , .. ~; t'l "" " , ~ \j:) E ;::: TOWN OF SOUTHOLD PROPERTY RECORD CARD M-1 rtJ () - 7 6 - 2 - /..? OWNER )olla /c1 J;r flfldi Et!furfi --' ___ .._...._____.___.____ __L__-'--l._,"u._'_",--'-'-,,__ FORMER OWNER0.'-~K'A Fh_~n:)1d. N.' ,A ~ L" r(ld L1 ~'nf {)j-- ~~;'-~};:;fi- /~ r:~T.- 5 ~ES'::Z/i SEAS, VL LAND IMP, TOTAL 7"''' 'PJ 0 i 1- be I z.6\9E /200 1'2/00 Tillable. '3 Waodlan~~b'S ;wampland '-1 3rushlarl'ti ~, Hause Plot Total - STREET VI LLAGE DISTRICT SUB, ('/ ACREAG~ , --"~.,~~ ,i Cr) .',' rJ t/(' " VI '(I W TYPE OF BUILDING FARM coMM, liND, -I CB, MiSe DATE REMARKS , ,) c:; -< :J 1-/ 'j ,j /(f() "i I'd,,,, ..f~D '" 33'100 3 S"u I) ~1?) :..) -..' /06 5500 57'00"' . Sn", )C0 "J f (-.-- -:: 1ff ^,,~~~I.~""T tw-~pr' ... I 1-- \. oj I 0 I /(. # ~ $ p J ~'ii~7 - con:;:,f,., AL fev-, +0 li ; t; .. C ./0 CYOt) 5;:l145CXc(/~ 141,., ;qg-iYJrp,er fo r:;&:Jf'rCikJ .. l7{J,ao qJ~~ L II 'i:2ro/() -nr~ra/r/ rc, ('fJodw/d(421/jCiXJ ...... ...s ~- -~ . .. '9/91 M. Bldg. ':, c Y') , / __ '>~~f :A :;;: M"-/ /:r Foundotion ." I .,... 1, ?::-; .) 'I Cj Basement Ext. Walls Extension /3 Y.I' / {~9 " Extension /?,/.J.. '2-" '3% Extension 7/ h / ~ .,'(2-0 ::: J)..6 - ~&~__m] ~ 'Vis' - ,;~,'1 (cLf7 B (; ,.,-; y Il-~;\;.:-:.\...; t ":)C~'_ 3W ;//f/p I~ 1102. Fire Place -400 Patio Gorage Drivewoy O. B. rJ I U)O:;O _ (r't l ) ~JJ!,.e<-.._ )?"7I..l(l,"'-~h ,) ~f- ~~j""f-'I vi ~- LJ(c _. I <:;-1.-;L! (9'j , ...-J '-"', '. .J ,.dv..,,\r i~ - J1~V '.,- :f>-, ::> " 3 . " "2 "f- :.0 0 3 B I? ",vI .j.., I" 1- 1 1 , , I c I~ CU 1/ Bath ! Floors " .j , u I i"j-j" l v>:'( .-' '.' !:, t t( ~- l . , /1-, Interior Finish tv,1'!? I Heo;t r H 4 Attic Porch Porch Rooms 1 st Floor Rooms 2nd Floor .-:10 66' 9 86 '16" SO~ SIll:lne 'r Ac tlO.-:l ), L . .~--"". - _. --. ~ --- -- '-'. . "'--, 5 " \) \'II) ~~~ () /?- ()~t' (?x...,'" <. ...~. " . / / / , / / / - , .....N.... ~.... ' ~\-:;; r- 0 ,S) - - tv) ''1 ~ I) ~~i'! (~@) '. -.- " " ". ", " , /2/ ;0 > '-, , ..9($' " ~ ' ~~ <6- /' ;0> , , " ,. ) 4t '-1'j ,000 :1',' 0 t lY':' 0/ '" ,I . /' $' 1.- ;" ! / / " j}/'/ . " ,/ x~ ' / j o "" ...'.,1\, v// ;0> '-, '~ "", ~' -YOI>- ~ .. >0' , '-'" , , '... ... - " -:0(:) ~' '? a~ 15 ~ '" -(<y <Y-Y -< , ", , - .~- ( <C. o<J n c~ , ", '. , , ...--..-... ~. ... ". , y. /r ~O'91 B'N Ll3 ,,00 ,O'i. 00 :-fl..L JJ 0,11 ;]).1<'.)0' 1-/.;" I 1(/ \', -' Ob(,S f (\I 1.;-" / J c" '(\1>: 1"1 I! I ,;.~...., ',- t \ T-j, r"J-r.-r-.- VV:-1""._- .~ ~ . ~. . ~. -_.- ... -- -- - -- . .' .rt- It~ ... ---.... - g. "J. "I". ~ SJ, (lSI ..~ -........___...11..~""'" TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEt: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. d;}:;) !(()l:-- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Examined Approved Disapproved alc , ,20_ 20 j,. '- alw 1 ,20~ Phone: 7'-.)- .!3 ?5.J. ~ .:)().-~Y1-rOnO Expiration ./ APPLICATION FOR BUILDING PERMIT Date fJ!7 , 20"6 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ;;J 6~j C~cIv(d (Signature of applicant or name, if a corporation) 8 70 Sfl1d~ lJr(1/.f f/oril. -S:::Juft, P.L (Mailing address of applicant) cI . f f/1 ({'fir State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Il/JI !r c cJ..,tf IS 6 UJ Af-er ddwlJe., I Name of owner of premises ])OIlJ 1 +- fkrl, (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. ...,-;;"" Qu..~tdy Plumbers License No. Electricians License No. IJ(Ol.N Hubb....J Other Trade's License No. I. Location of land on which proposed work will be done: 87u SM/7t. 1)nC4 I]vttl.. House Number Street (Name) .5or-iar/ Hamlet 1238 .IOAKl BI k 2. !UY W\lv...l0 91e1Z. .~I"L" ':'/~ 3 oc ':~f\e..\~1t:' - ot 'Ied (i"Uo;lAlt:",: " Ft Map ~~ ,BIII~lI'J"'" L9h;.. County Tax Map No. 1000 Section @. !;, ~ Subdivision 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy OI\Jt -fi;..~(v J,u.tlPfW7 I ./ . b. Intended use and occupancy ~cr MI(I-<> d 'faN L '. 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition V Other Work Alteration 4. Estimated Cost /t8~ (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars / , (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. Depth 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front /8 Height Number of Stories Rear Depth fO 9. Size oflol: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO - - 13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_ 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO -- * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COUNTY oFSufu nt D (/\{\ (). rd r ACI d w ,'c.-t.. being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the t!fk)ne/ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. 2oD& V(/1{d/ ct~0 Signature of Applicant Notary Public NolaIY.r;.... Ho.O 1 _<!,!a!ffied in . _1tGfl Expira AIIIIII 2llO7